Clinical profile and management of external jugular vein aneurysms

Author:

Thakur Uttam Kumar1,Savlania Ajay1ORCID,Naik Anil L1,Singh Charan1,Chatterjee Debajyoti2,Gorsi Ujjwal3

Affiliation:

1. Department of General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India

2. Department of Histopathology, Post Graduate Institute of Medical Education and Research, Chandigarh, India

3. Department of Radiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Abstract

Objective External jugular vein (EJV) aneurysm is an extremely uncommon clinical condition. We have studied the clinical profile and need for surgery in this present seven case series of primary external jugular vein aneurysms. Method Over the past three years, we have diagnosed and managed aneurysms of external jugular vein in seven patients, who presented with swelling in the posterior triangle of the neck. Venous duplex was obtained in all the patients, followed by computed tomography (CT) in three patients and one patient reported with magnetic resonance (MR) venography from another hospital. Three patients had symptoms ranging from mild intermittent discomfort to moderate pain underwent excision of aneurysm after ligation of both ends of EJV. Four patients had swelling on the lateral side of the neck due to EJV aneurysm, with no other associated symptoms. They were kept on six monthly follow-ups. Result We operated three patients, as they were symptomatic, of which only two had thrombus in the aneurysmal sac. All three symptomatic patients had aneurysm of size >5 cm. Post-surgery and on subsequent follow-ups they were asymptomatic. The four asymptomatic patients kept on conservative management did not develop any thrombosis of aneurysm sac in follow up. Conclusion Surgical excision is indicated for symptomatic patients with EJV aneurysm, preferably for size > 5 cm because of their higher association with thrombosis or symptoms. Asymptomatic patients can be managed non-operatively with regular surveillance by clinical examination and venous duplex or can be treated if patients insist due to cosmetic reasons.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine

Cited by 5 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. A Rare Case of External Jugular Vein Aneurysm Mimicking Branchial Cyst in a Nigerian Child;Journal of West African College of Surgeons;2024-09-02

2. Comparative Analysis of Ultrasound Diagnosis and Pathological Characteristics of External Jugular Venous Aneurysm;Current Medical Imaging Reviews;2023-08-24

3. Giant cephalic venous aneurysm;Journal of Vascular Surgery Cases, Innovations and Techniques;2022-12

4. External Jugular Venous Aneurysm: A Case Report;Plastic and Reconstructive Surgery - Global Open;2022-10

5. A large and complex saccular external jugular vein aneurysm in an adolescent girl;Journal of Pediatric Surgery Case Reports;2021-11

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